Organization
DERMONE DERMATOLOGY ASSOCIATES OF TEXAS PA
Active
Organization
DERMONE DERMATOLOGY ASSOCIATES OF TEXAS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON THOMAS (AVP CONTRACTING & PRICING)
(732) 864-5129
Entity
Organization
Contact information
Practice address
1100 ORCHARD DR STE B, ARLINGTON, TX 76012-2519
(800) 337-6663
Mailing address
200 BARR HARBOR DR STE 200, CONSHOHOCKEN, PA 19428-2979
(848) 240-2812
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003084914
INDIVIDUAL NPI
—
01
—
1487951844
INDIVIDUAL NPI
—
01
—
1700932076
INDIVIDUAL NPI
—
01
—
1710283783
INDIVIDUAL NPI
—
01
—
1780734582
INDIVIDUAL NPI
—
01
—
1790865970
INDIVIDUAL NPI
—
01
—
1962402040
INDIVIDUAL NPI
—
Enumeration date
08/02/2013
Last updated
03/17/2018
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